目的 评价正念干预疗法对脑卒中患者抑郁水平的影响效果。方法 检索Cochrane图书馆、PubMed、EMBASE、Web of Science、中国期刊全文数据库(CNKI)、万方数据知识服务平台和中国维普全文数据库中关于正念干预疗法应用于改善脑卒中后患者抑郁的临床研究。采用RevMan 5.3软件进行Meta分析。结果 共纳入5篇文献,3篇为随机对照试验,2篇为临床对照试验。Meta分析显示,总体来看,正念干预疗法可以显著降低脑卒中患者的抑郁得分(SMD = -1.05, Z = 3.52, P < 0.001)。结论 正念干预疗法可以降低脑卒中患者的抑郁水平,但具体方法有待进一步研究。
Objective To review the effects of mindfulness-based therapy on depression for stroke patients. Methods The researches about the effects of mindfulness-based therapy on depression for stroke patients were recalled from Cochrane Library, PubMed, EMbase, Web of Science, CNKI, WanFang Data and VIP, and analyzed with RevMan 5.3 software. Results Five researches were included, which contained three randomized controlled trials and two clinical controlled trials. Meta-analysis showed that mindfulness-based therapy could decrease the depression score in stroke patients (SMD = -1.05, Z = 3.52, P < 0.001). Conclusion The mindfulness-based therapy could reduce the depression for stroke patients; however, the means of mindfulness need further research.
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